title: [Fournier's disease: a report of 9 cases].
abstract: Nine cases of Fournier's gangrene diagnosed between 1982 and 1989 are reported. All were males with a mean age of 76 (47-82 years). Seven had a history of alcoholism and one had non insulin-dependent diabetes. Six patients also had an anal fistula which may have been the starting point of the infection. The causal agents were two anaerobes (Clostridium perfringens and Bacteroides fragilis) two gram-negatives (Morganella morgagni and Pseudomonas aeruginosa) and one, an unidentified gram-positive. In three patients a mixed intestinal flora was isolated and in another no germs were found. All were treated with broad-spectrum antibiotics and surgery. Seven patients survived and two died.
authors.affiliation: Universidad Autónoma, Clinica de La Concepción Fundación Jiménez Díaz, Madrid.
authors.forename: C
authors.initials: C
authors.lastname: García Reinoso
authors.forename: M
authors.initials: M
authors.lastname: Gómez Rubio
authors.forename: F
authors.initials: F
authors.lastname: Sáez-Royela
authors.forename: E
authors.initials: E
authors.lastname: Melero Calleja
mesh_terms: D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000150:complications / Q000401:mortality / Q000628:therapy; D003131:Combined Modality Therapy; D005734:Gangrene / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012611:Scrotum; D013577:Syndrome
vernacular_title: Enfermedad de Fournier: aportación de nueve casos.